Journal Information
Issue
portada-S1413355525X0006XVol. 29. Issue 6.
(1 November 2025)
Systematic review
Scapular kinematics variability in individuals with and without rotator cuff-related shoulder pain: A systematic review with multilevel meta-regression
Rubén Fernández-Matías, Jorge Ballesteros-Frutos, Pablo Gallardo-Zamora, Néstor Requejo-Salinas, Iván Caballero-Pozo, Paula Ludewig, Enrique Lluch-Girbés
Braz J Phys Ther. 2025;29:101261
Highlights

  • There is evidence against the existence of the setting phase of the scapula.

  • There is evidence against the constant 3:1 humerothoracic scapulohumeral rhythm.

  • There is a great variability in scapular kinematics in healthy individuals.

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ASSOBRAFIR clinical practice guidelines in cardiovascular physical therapy: Exercise-based interventions in outpatient rehabilitation programs for heart failure
Marlus Karsten, Giulliano Gardenghi, Alessandra Choqueta Toledo Arruda, Aparecida Maria Catai, Ariany Marques Vieira, Cinara Stein, Cintia Laura Pereira de Araujo, Danielle Aparecida Gomes Pereira, ... Gerson Cipriano
Braz J Phys Ther. 2025;29:101260
Highlights

  • Supervised high-intensity interval training (HIIT) and moderate-intensity continuous training (MICT) are options for heart failure treatment in cardiovascular rehabilitation programs (CoR, low CoE).

  • Supervised moderate-intensity resistance training (MIRT) may be more effective than low-intensity resistance training (LIRT) for heart failure with preserved ejection fraction (HFpEF) patients (CoR, very low CoE).

  • High-intensity inspiratory muscle training (HI-IMT) improves inspiratory muscle strength/endurance in heart failure patients (CoR, very low CoE).

  • Aerobic training (AT) plus neuromuscular electrical stimulation (NMES) offers no extra benefit over AT alone for heart failure patients (CoR, low CoE).

  • NMES is more effective than NMES placebo or usual activities for heart failure patients (CoR, low CoE).

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Original research
Perceptions and beliefs of physical therapists regarding the mechanisms of manual therapy
Gabriela F. Carvalho, Wacław M. Adamczyk, Carine S. Ludes, Rachel Scharbach, Andres Jung, Sven Karstens, Kerstin Luedtke, Tibor M. Szikszay
Braz J Phys Ther. 2025;29:101231
Highlights

  • Therapists believe in manual therapy mechanisms, partially supported by evidence.

  • Mechanisms include brain involvement, pain modulation, and placebo effects.

  • Sociodemographics are weakly associated with beliefs about manual therapy.

  • Perceived efficacy was related to men, hands-on time, biomechanics, and less placebo.

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Physical disability is associated with increased odds for hospitalization in older adults: analysis from NHANES 2009–2018
Guilherme Porto, Saulo Gil, Eduardo Ferriolli, Bruno Gualano, Hamilton Roschel
Braz J Phys Ther. 2025;29:101254
Highlights

  • Physical disability doubles hospitalization odds in older adults (OR: 2.13).

  • Disabled older adults are five times more likely to have ≥ 4 hospitalizations.

  • Findings highlight the need for policies to prevent disability in older populations.

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What factors are associated with physical therapists’ use of patient-reported outcome measures in managing patients with low back pain in primary health care in Sweden?
Christine Melbye, Sara Östhols, Philip von Rosen, Eva Rasmussen-Barr
Braz J Phys Ther. 2025;29:101250
Highlights

  • Few physical therapists use PROMs for health-related and psychosocial factors.

  • Higher education levels increase the likelihood of using these PROMs.

  • Being an advanced clinical specialist increases the likelihood of using these PROMs.

  • Understanding PROMs within the biopsychosocial framework is essential.

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Environmental factors contribute to the success of extubation in newborns: A multicenter cross-sectional study
Taís Beppler Martins, Emanuella Cristina Cordeiro, Giane Amorim Ribeiro-Samora, Luciana Sayuri Sanada, Gentil Gomes da Fonseca Filho, Silvana Alves Pereira, Dayane Montemezzo
Braz J Phys Ther. 2025;29:101255
Highlights

  • The ICF framework provides a structured approach to identifying predictors of successful extubation.

  • This multicenter study analyzed data from five macro-regions across Brazil.

  • Contextual factors may be considered in neonatal extubation protocols.

  • Environmental factors can influence the success of extubation in newborns.

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What are physical therapists doing to prevent falls in older adults in Brazil? - Findings from a nationwide survey
Renato Barbosa dos Santos, Marcos Paulo Miranda de Aquino, Tatiane da Silva, Camila Astolphi Lima, Nancy M Salbach, Keith D Hill, Catherine Sherrington, Monica R Perracini
Braz J Phys Ther. 2025;29:101252
Highlights

  • Brazilian physical therapists are committed to fall prevention and implementing best practices for fall prevention.

  • Physical therapists exhibit capability, opportunity, and motivation to implement best practices for fall prevention.

  • Barriers include patient underreporting falls, risk denial, and adherence to intervention.

  • Practice area and updated knowledge influence physical therapists' frequency of implementing best practices for fall prevention.

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The burden of injuries and illnesses in Para Athletes: A one-year prospective study of 102 para athletes across four sports
Fernanda Oliveira Madaleno, Andressa Silva, Evert Verhagen, Larissa Santos Pinto Pinheiro, Erik Witvrouw, Evi Wezenbeek, Thiago Fernando Lourenço, Marco Tulio de Mello, ... Renan Alves Resende
Braz J Phys Ther. 2025;29:101253
Highlights

  • Over two-thirds of Para athletes had health problems; injuries were 74 % of cases.

  • Taekwondo showed highest injury prevalence and incidence rate among the four sports.

  • Shoulder injuries had greatest burden, followed by ankle and knee in Para athletes.

  • Powerlifting had the highest injury burden; athletics showed more illnesses overall.

  • Findings support sport-specific injury prevention to reduce burden in Para athletes.

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Reducing mortality risk in older adults by replacing sedentary behavior with leisure-time physical activity: insights from a prospective cohort study
Lucas Lima Galvão, Douglas de Assis Teles Santos, Claudio André Barbosa de Lira, Jair Sindra Virtuoso Júnior, Sheilla Tribess, Anne Sulivan Lopes da Silva Reis, Marilia Santos Andrade, Beat Knechtle, Rodrigo Luiz Vancini
Braz J Phys Ther. 2025;29:101256
Highlights

  • Replacing sedentary time with leisure activity improves older adults’ lifespan.

  • More sedentary time instead of leisure activity harms older adults’ longevity.

  • Changes in activity and sedentary behavior may reduce premature death risk.

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Cervical flexion posture during smartphone use was not a risk factor for neck pain, but low sleep quality and insufficient levels of physical activity were. A longitudinal investigation
Igor Macedo Tavares Correia, Arthur de Sá Ferreira, Jessica Fernandez Mosqueira Gomes, Felipe José Jandre Reis, Leandro Alberto Calazans Nogueira, Ney Meziat-Filho
Braz J Phys Ther. 2025;29:101258
Highlights

  • Cervical flexion posture during smartphone use was not a risk factor for neck pain;.

  • Low sleep quality was a risk factor for neck pain;.

  • Insufficient levels of physical activity were a risk factor for neck pain.

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Shoulder pain phenotyping: A guide for clinicians to determine predominant nociceptive, neuropathic, or nociplastic shoulder pain
Liesbet De Baets, Kevin Kuppens, Céline Labie, Melina Nevoeiro Haik, Eleni Kapreli, Paraskevi Bilika, Filip Struyf, Dorien Borms, ... Jo Nijs
Braz J Phys Ther. 2025;29:101240
Highlights

  • Pain phenotypes responsible for persistent shoulder pain can be complex and dynamic.

  • Presentation of shoulder pain phenotype assessment and clinical reasoning.

  • Knowledge gaps on characteristics of patients per specific shoulder pain phenotype.

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Predictors of functional recovery in the first year after severe traumatic brain injury
Jessica Vaz Gonçalves, Pedro Henrique Cassaro Lirio, Carla Bernado Louzada, Hanna Souza de Almeida, Hellen Siler Vasconcellos, Larissa Santos Ramos, Thais da Silva Rodrigues, Renato Campos Freire Júnior, ... Fernando Zanela da Silva Arêas
Braz J Phys Ther. 2025;29:101251
Highlights

  • Functional recovery after severe TBI in Brazil is influenced by sociodemographic and clinical factors.

  • Lower education levels were associated with worse outcomes within 1-year assessment.

  • Length of mechanical ventilation was a consistently strong predictor of unfavorable outcome.

  • Decompressive craniectomy and advanced age (>65 years) were linked to poor long-term functional outcomes.

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Five-repetition chair-stand test vs. handgrip strength: Which better predicts mortality risk? a follow-up study in 43,605 middle-aged and older adults
Rodrigo Núñez-Cortés, Lars Louis Andersen, Carlos Cruz-Montecinos, Ana Polo-López, Rubén López-Bueno, Joaquín Calatayud
Braz J Phys Ther. 2025;29:101529
Highlights

  • 4154 deaths (9.5 %) occurred during a mean follow-up of 7 years.

  • Handgrip strength predicts mortality better than Chair Stand Test.

  • Chair Stand Test is more relevant for mortality in older women.

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“Improved not only the osteoarthritis but also general health”: A qualitative study on patient experiences with the peak-portuguese e-learning course for knee osteoarthritis self-management
Hugo Jario Almeida Silva, Lívia Gaspar Fernandes, Rana S. Hinman, Julya Perea, Karime Mescouto, Angelica V. Ferrari, Anderson Aparecido Fogaça, Bruno T. Saragiotto, Tania F. Salvini
Braz J Phys Ther. 2025;29:101528
Highlights

  • Healthcare professionals should use empowering language about knee osteoarthritis, highlighting self-management and maintenance of activities by individuals and focusing on quality of life.

  • Evidence-based health education for individuals with knee osteoarthritis is important for adherence to recommendations for self-management of the condition.

  • Portuguese-speaking individuals with knee osteoarthritis had good experiences and benefitted from the PEAK-PT course.

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Idiomas
Brazilian Journal of Physical Therapy